Total Joint Center of Excellence Scorecard
Advanced Comprehensive Joint Certification Measures 2025/26 Inpatient
Patients who are able to walk on the same day as surgery have faster recovery. This is a measurement of hip/knee replacement patients with documented walking on the day of surgery as a percent of all hip/knee replacement patients.
THKR-1 Regional Anesthesia
| |
Goal |
Feb '25 |
Mar '25 |
Apr '25 |
May '25 |
June '25 |
July '25 |
Aug '25 |
Sep '25 |
Oct '25 |
Nov '25 |
Dec '25 |
Jan '26 |
| Hip |
90% |
N/A |
N/A |
N/A |
100% |
100% |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
100% |
| Knee |
90% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
100% |
100% |
N/A |
100% |
100% |
N/A |
| Overall |
90% |
N/A |
N/A |
N/A |
N/A |
100% |
100% |
100% |
100% |
N/A |
100% |
100% |
100% |
THKR-2 Postoperative ambulation on day of surgery within 4 hours of discharge from PACU
| |
Goal |
Feb '25 |
Mar '25 |
Apr '25 |
May '25 |
June '25 |
July '25 |
Aug '25 |
Sep '25 |
Oct '25 |
Nov '25 |
Dec '25 |
Jan '26 |
| Hip |
90% |
N/A |
N/A |
N/A |
0% |
0% |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
100% |
| Knee |
90% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
0% |
0% |
N/A |
100% |
100% |
N/A |
| Overall |
90% |
N/A |
N/A |
N/A |
0% |
0% |
100% |
0% |
0% |
N/A |
100% |
100% |
100% |
THKR-3 Discharged to Home
| |
Goal |
Feb '25 |
Mar '25 |
Apr '25 |
May '25 |
June '25 |
July '25 |
Aug '25 |
Sep '25 |
Oct '25 |
Nov '25 |
Dec '25 |
Jan '26 |
| Hip |
90% |
N/A |
N/A |
N/A |
100% |
100% |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
100% |
| Knee |
90% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
100% |
100% |
N/A |
100% |
0% |
N/A |
| Overall |
90% |
N/A |
N/A |
N/A |
100% |
100% |
100% |
100% |
100% |
N/A |
100% |
0% |
100% |
THKR-4 Preoperative Functional/Health Status Assessment
| |
Goal |
Feb '25 |
Mar '25 |
Apr '25 |
May '25 |
June '25 |
July '25 |
Aug '25 |
Sep '25 |
Oct '25 |
Nov '25 |
Dec '25 |
Jan '26 |
| Hip |
90% |
N/A |
N/A |
N/A |
100% |
100% |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
0% |
| Knee |
90% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
100% |
100% |
N/A |
100% |
100% |
N/A |
| Overall |
90% |
N/A |
N/A |
N/A |
100% |
100% |
100% |
100% |
100% |
N/A |
100% |
100% |
0% |
THKR-5 Postoperative Functional/Health Status Assessment
| |
Goal |
Feb '25 |
Mar '25 |
Apr '25 |
May '25 |
June '25 |
July '25 |
Aug '25 |
Sep '25 |
Oct '25 |
Nov '25 |
Dec '25 |
Jan '26 |
| Hip |
80% |
N/A |
N/A |
N/A |
100% |
N/A |
N/A |
0% |
N/A |
N/A |
N/A |
- |
- |
| Knee |
80% |
N/A |
N/A |
N/A |
N/A |
100% |
N/A |
N/A |
100% |
0% |
100% |
- |
- |
| Overall |
80% |
N/A |
N/A |
N/A |
100% |
100% |
N/A |
0% |
100% |
0% |
100% |
- |
- |
*From 11/25 to include ambulation on day of surgery.
Advanced Comprehensive Joint Certification Measures 2025/26 Outpatient
THKR-1 Regional Anesthesia
| |
Goal |
Feb '25 |
Mar '25 |
Apr '25 |
May '25 |
June '25 |
July '25 |
Aug '25 |
Sep '25 |
Oct '25 |
Nov '25 |
Dec '25 |
Jan '26 |
| Hip |
90% |
72% |
90% |
65% |
92% |
100% |
100% |
90% |
100% |
92% |
100% |
95% |
93% |
| Knee |
90% |
86% |
68% |
83% |
100% |
97% |
100% |
90% |
96% |
96% |
100% |
100% |
100% |
| Overall |
90% |
81% |
73% |
77% |
98% |
98% |
100% |
95% |
98% |
95% |
100% |
98% |
98% |
THKR-2 Postoperative ambulation on day of surgery within 4 hours of discharge from PACU
| |
Goal |
Feb '25 |
Mar '25 |
Apr '25 |
May '25 |
June '25 |
July '25 |
Aug '25 |
Sep '25 |
Oct '25 |
Nov '25 |
Dec '25 |
Jan '26 |
| Hip |
18/21 |
86% |
14/18 |
78% |
12/15 |
80% |
68% |
94% |
70% |
82% |
72% |
72% |
77% |
| Knee |
38/40 |
95% |
36/43 |
84% |
48/52 |
92% |
86% |
88% |
87% |
81% |
93% |
87% |
89% |
| Overall |
56/61 |
92% |
50/61 |
82% |
60/67 |
90% |
78% |
90% |
79% |
82% |
85% |
79% |
85% |
THKR-3 Discharged to Home
| |
Goal |
Feb '25 |
Mar '25 |
Apr '25 |
May '25 |
June '25 |
July '25 |
Aug '25 |
Sep '25 |
Oct '25 |
Nov '25 |
Dec '25 |
Jan '26 |
| Hip |
90% |
100% |
100% |
94% |
100% |
100% |
95% |
100% |
100% |
100% |
96% |
100% |
93% |
| Knee |
90% |
100% |
100% |
94% |
93% |
97% |
93% |
100% |
100% |
92% |
100% |
100% |
93% |
| Overall |
90% |
100% |
100% |
94% |
95% |
98% |
93% |
100% |
100% |
95% |
98% |
100% |
93% |
THKR-4 Preoperative Functional/Health Status Assessment
| |
Goal |
Feb '25 |
Mar '25 |
Apr '25 |
May '25 |
June '25 |
July '25 |
Aug '25 |
Sep '25 |
Oct '25 |
Nov '25 |
Dec '25 |
Jan '26 |
| Hip |
90% |
100% |
18/18 |
100% |
14/15 |
93% |
95% |
100% |
100% |
94% |
95% |
100% |
77% |
| Knee |
90% |
98% |
43/43 |
100% |
51/52 |
98% |
100% |
100% |
100% |
93% |
97% |
96% |
93% |
| Overall |
90% |
98% |
61/1 |
100% |
65/67 |
97% |
98% |
100% |
100% |
93% |
96% |
98% |
88% |
THKR-5 Postoperative Functional/Health Status Assessment
| |
Goal |
Feb '25 |
Mar '25 |
Apr '25 |
May '25 |
June '25 |
July '25 |
Aug '25 |
Sep '25 |
Oct '25 |
Nov '25 |
Dec '25 |
Jan '26 |
| Hip |
80% |
39% |
31% |
31% |
25% |
36% |
26% |
29% |
55% |
42% |
31% |
- |
- |
| Knee |
80% |
35% |
29% |
31% |
39% |
27% |
24% |
29% |
23% |
24% |
37% |
- |
- |
| Overall |
80% |
37% |
30% |
31% |
34% |
29% |
25% |
29% |
35% |
31% |
35% |
- |
- |
*From 11/25 to include ambulation on day of surgery.